子宫背带式缝合术治疗剖宫产产后出血的效果分析  

Effect analysis of strap-uterine suture in the treatment of postpartum hemorrhage after cesarean section

作　　者：刘伟[1] LIU Wei(Shandong Rongcheng People's Hospital,Rongcheng 264300,China)

机构地区：[1]山东省荣成市人民医院,264300

出　　处：《中国实用医药》2023年第20期56-59,共4页China Practical Medicine

摘　　要：目的探讨子宫背带式缝合术治疗剖宫产产后出血的临床效果。方法120例剖宫产产后出血产妇,采用分组研究法分为对照组和实验组,每组60例。对照组给予常规止血治疗,实验组给予子宫背带式缝合术治疗。比较两组产妇治疗效果、手术时间、术中出血量、并发症发生率。结果治疗后,实验组显效33例,占比为55.00%,有效24例,占比为40.00%,无效3例,占比为5.00%,治疗总有效率为95.00%;对照组显效20例,占比为33.33%,有效28例,占比为46.67%,无效12例,占比为20.00%,治疗总有效率为80.00%。实验组治疗总有效率高于对照组,差异具有统计学意义(P<0.05)。实验组手术时间(45.23±12.33)min短于对照组的(89.27±16.54)min,术中出血量(704.13±56.44)ml少于对照组的(1356.25±66.41)ml,差异具有统计学意义(P<0.05)。治疗后,实验组产褥感染产妇1例,占比为1.67%,痛经产妇1例,占比为1.67%;对照组产褥感染产妇3例,占比为5.00%,痛经产妇4例,占比为6.67%,继发性贫血产妇3例,占比为5.00%。实验组并发症发生率3.33%低于对照组的16.67%,差异具有统计学意义(P<0.05)。结论子宫背带式缝合术可显著减少剖宫产产后出血症状,提高治疗效果。Objective To discuss the clinical effect of strap-uterine suture in the treatment of postpartum hemorrhage after cesarean section.Methods A total of 120 cases of postpartum hemorrhage after cesarean section were divided into control group and experimental group,with 60 cases in each group.The control group was treated with routinehemostasis,and the experimental group was treated with strap-uterine suture.The therapeutic effect,operative time,intraoperative blood loss and complication rate were compared between the two groups.Results After treatment,in the experimental group,33 cases(55.00%)were obviously effective,24 cases(40.00%)were effective,3 cases(5.00%)were ineffective,and the total effective rate was 95.00%;in the control group,20 cases(33.33%)were obviously effective,28 cases(46.67%)were effective,12 cases(20.00%)were ineffective,and the total effective rate was 80.00%.The total effective rate of the experimental group was higher than that of the control group,and the difference was statistically significant(P<0.05).The operative time of(45.23±12.33)min in the experimental group was shorter than that of(89.27±16.54)min in the control group,and the intraoperative blood loss of(704.13±56.44)ml was less than that of(1356.25±66.41)ml in the control group.The differences were statistically significant(P<0.05).After treatment,there was 1 case of puerperal infection in the experimental group,accounting for 1.67%;1 case of dysmenorrhea,accounting for 1.67%.In the control group,there were 3 cases of puerperal infection,accounting for 5.00%;4 cases of dysmenorrhea,accounting for 6.67%;3 cases of secondary anemia,accounting for 5.00%.The complication rate of the experimental group was 3.33%,which was lower than that of 16.67%of the control group,and the difference was statistically significant(P<0.05).Conclusion Strap-uterine suture can significantly reduce the bleeding symptoms of postpartum hemorrhage after cesarean section and improve the therapeutic effect.

关 键 词：子宫背带式缝合术 剖宫产 产后出血 出血量 

分 类 号：R719.8[医药卫生—妇产科学]